Individual
KAELEY REBEKAH MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 E MEDICAL LN, WEST COLUMBIA, SC 29169-4813
(803) 791-2397
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8175
SC
Other
Enumeration date
10/10/2022
Last updated
03/25/2025
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